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Finding the timing that suits the individual is key
It can be a helpful tool but not a danger when they are informed in terms of expectations and informed in terms of usage
Check B12 levels at 3-6 months after starting therapy
This may identify the so-called parallel or non-parallel healing actions, with the final end result, positive (fistula closing) or negative (fistula remains open) (Skorjanec et al., 2009)
Professional guidance helps navigate these individual differences while maximizing therapeutic benefits.
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